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This study investigates the association between premenstrual tension (PMT) symptom severity and academic performance among female university students.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted over an 8-month from January to August 2025 among 273 female students of Islamic University, Bangladesh. A reliable, self-administered, bilingual questionnaire was developed based on the Diagnostic and Statistical Manual of Mental Disorders, Fifth edition (DSM-5) criteria to collect the primary data. It was used to assess the prevalence and severity of psychological, behavioral, and physical symptoms as well as their impact on academic performance. Data were analyzed using SPSS (version 25.0) and Python (Pandas, NumPy, SciPy, and Matplotlib). The Chi-square test was used to examine the association between PMT and academic outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 273 participants were selected from 976 eligible female students. The age of the participants ranged from 17 to \u2265\u200925 years, with a median age category of 23\u201324 years. The prevalence of premenstrual tension (PMT) symptoms was 65.2%, while 8.1% of participants met the criteria for premenstrual dysphoric disorder (PMDD). Severe mood swings (39.6%) and irritability (37.0%) were identified as the most frequently reported symptoms. A statistically significant association was observed between PMT and academic performance indicators, including difficulty concentrating in class (69.6%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.013), negative impact on examination performance (64.4%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.012), and difficulty participating in extracurricular activities (60.0%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.009). Overall, 54.9% of the female university students reported that their academic performance was negatively affected by premenstrual symptoms.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our study revealed a high prevalence of premenstrual tension (PMT) and premenstrual dysphoric disorder (PMDD) among female university students, with severe psychological symptoms such as mood swings and irritability negatively affecting concentration, examination performance, and participation in extracurricular activities. The findings underscore the importance of raising awareness, implementing targeted mental health support, and providing appropriate interventions to improve academic performance and overall well-being.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12889-026-28124-3","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T01:46:34Z","timestamp":1782956794000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence and severity of premenstrual tension syndrome and its impact on academic performance among female university students in Bangladesh: a cross-sectional study"],"prefix":"10.1186","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-5966-8522","authenticated-orcid":false,"given":"Md. 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Reprod Health. 2025;22(1):87.","journal-title":"Reprod Health"}],"container-title":["BMC Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12889-026-28124-3","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12889-026-28124-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12889-026-28124-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T22:56:38Z","timestamp":1791327398000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s12889-026-28124-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,2]]},"references-count":50,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["28124"],"URL":"https:\/\/doi.org\/10.1186\/s12889-026-28124-3","relation":{},"ISSN":["1471-2458"],"issn-type":[{"value":"1471-2458","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,2]]},"assertion":[{"value":"1 March 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 June 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 July 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The ethical approval for this study was obtained from the Ethical Review Committee and the Dean of the Faculty of Science, Islamic University, Kushtia, Bangladesh (Reference No: FOS\/IU\/2025\/41). Before the survey commenced, the study objectives were clearly explained to all participants, and informed verbal consent was obtained from each respondent. Participants were explicitly informed that their participation was entirely voluntary, their information would remain strictly confidential, and no identifiable data would be disclosed. Furthermore, all participants were informed of their right to withdraw from the survey at any time without any consequences. This research was conducted in full compliance with the ethical principles outlined in the Declaration of Helsinki, ensuring the maintenance of the highest ethical standards throughout the study.","order":1,"name":"Ethics","label":"Ethical approval and consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable. The manuscript contains no identifiable personal information requiring consent for publication.","order":2,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"2833"}}